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allnurses

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Discussion

how many access devices

Feb 1, 200719 yr

Can someone tell me how many idfferent types of vascular access devices there are? peripheral, PICC, groshong etc.....

Feb 7, 200719 yr

OK,I'll give this a shot....

Subcutaneous: Insulin and pain med pumps,clysis,etc.

Venous:1. Good ol' peripheral IV's in dozens of shapes,sizes and colors.

2. Midline catheter.

3. PICC. Again,dozens of shapes,colors and sizes.

4. CVC. Ideally centrally-placed,anyhow. Insertion site could be neck,chest,femoral or other places depending on the central vein used and age/size of pt. Could be tunnelled or not.

5. Special use lines :SwanGanz,hemodialysis,aquapheresis,umbilical,sheaths for procedures like heart cath or TPA'ing a vessel.

Intraosseous: Not too common,but IO route is used for Peds and in some rare adult cases.

Arterial:Usually for monitoring but there are lines used for chemo that is to go into the hepatic artery. Also umbilical here,too.

Implanted devices: Central ports and arm ports.

Hemodialysis shunt: Surgically-implanted alternative for HD.

That's all I can think of for now--sure I missed a few.